摘要
作者回顾１３年来浮髋损伤１８例；Ｉ型１０例；ＩＩ及ＩＩＩ型各４例。均伴有休克，８３．３％的病例合并有多发伤，ＩＳＳ（创伤指数）平均值为２２，经积极救治无１例死亡。在抢救生命的同时，并以此分类，分别应用骨外固定器固定骨折１２例，经皮空心加压螺钉（简称ＡＯ钉）固定骶髂关节５例和髋臼骨折手术ＡＯ钉内固定，做到同步治疗，使患者早期康复。本组Ｉ型及ＩＩ型骨折，平均随访６．１年，优良治愈率为９３％（１３／１４）；ＩＩＩ型骨折，平均随访３．９年，优良治愈率为７５％（３／４）。作者认为：按浮髋损伤的类型给予有效的治疗，可获得满意的效果。
AbstractPurpose:Floating hip ie. fracture of pelvic ringassociated with ipsilateral femoral fracture. We report18 cases,their classification and the treatment. Material and Method:Rased on the studies offracture of pelvis and acetabulum by T and P,the au-thor revised L classlfication of 18 cases I C_1 10 , II C_2 4, III C_3 4.According to the types of fractures.We used external fixator 12,AO screw 8 (sacro-iliacdislocation 5, acetabular fractures 3),there were 20femoral fractures in 18 cases: proxiaml ( neck andtrochanteric)5,upper shaft 7 , middle shaft 5,distal1.The treatment of 20 femoral fractures was:internalfixation 17,external fixator 3 , traction 1.Result: 14 patients was followed-up for 6.1(2～13) years. The satisfactory rate of type I and II typesof floating hip was 93%. 4 patients was followed-upfor 3.9(1～9 ) years. The satisfactory rate of type IIIwas 75%.Conclusion: According to the types of floating hiptreated by a well-selected and effective osteosyntheticprocedure, satisfactory functional result could be ob-tained.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第8期502-505,共4页
Chinese Journal of Orthopaedics
